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Dr. Carissa J Kostecki, MD
Pediatric Emergency Medicine (Pediatrics) Physician in Jacksonville, Florida
NPI 1720006828

Carissa J Kostecki is a Pediatric Emergency Medicine (Pediatrics) Physician based in Jacksonville, FL and is specialized in Pediatric Emergency Medicine. Carissa J Kostecki practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Carissa J Kostecki is 1720006828 and holds a License No. ME85233 (Florida).

The current practice location address for Carissa J Kostecki is 800 Prudential Dr, Jacksonville, FL and can be reached out via phone at 904-396-5682 and via fax at 904-346-0864. You can also correspond with Carissa J Kostecki through the mailing address at 820 PRUDENTIAL DR STE 713, JACKSONVILLE, FL - 32207-8209 (mailing address contact number: 904-396-5682).

Location: 800 Prudential Dr, Jacksonville, FL, 32207-8209
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Provider Profile Details
NPI Number
1720006828
Provider Name
Carissa J Kostecki
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
800 Prudential Dr, Jacksonville, FL, 32207-8209
Phone Number
904-396-5682
Fax Number
904-346-0864
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
265150500 05 FL
29056 01 FL BCBS
000960352A 05 GA
institution
Provider Business Practice Location Address Details
Address
800 Prudential Dr
City
State
Zip
32207-8202
Phone Number
904-396-5682
Fax Number
904-346-0864
person
Provider Business Mailing Address Details
Address
800 Prudential Dr
City
State
Zip
32207-8202
Phone Number
904-396-5682
Fax Number
904-346-0864
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
License No.
ME85233 (Florida)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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